Evidence map›Paper›PMID 22513181›Full record

ArticleInternational journal of older people nursing2012

Managing delirium in the acute care setting: a pilot focus group study.

Andrea Yevchak, Melinda Steis, Theresa Diehl, Nikki Hill, Ann Kolanowski, Donna Fick

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in International journal of older people nursing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01267682 (Reserve For Delirium Superimposed On Dementia), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01267682 phase2completednot on this map

Reserve For Delirium Superimposed On Dementia (DSD)

TypeinterventionalSponsorPenn State UniversityRan2011 to 2016Enrolled283ConditionsDelirium, DementiaArmsCognitive Stimulation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Delirium in a surgical context from a nursing perspective: A hybrid concept analysis.International journal of nursing studies advances · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Andrea YevchakThe Pennsylvania State University, School of Nursing, University Park, PA 16803, USA. amy139@psu.edu
Melinda Steis
Theresa Diehl
Nikki Hill
Ann Kolanowski
Donna Fick
Pennsylvania State University · US

Funding

Early Nurse Detection of Delirium Superimposed on Dementia (END DSD)R01NR011042 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI FICK, DONNA MARIE · 2010 to 2014
$2.6M
RESERVE for Delirium Superimposed on Dementia (DSD)R01NR012242 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI FICK, DONNA MARIE, KOLANOWSKI, ANN M · 2010 to 2014
$2.1M
The Moderating Influence of Personality on Cognitive Stimulation Outcomes in PersF31NR013304 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI HILL, NIKKI L. · 2012 to 2013
$45k
NINR NIH HHS 5 R01 NR011045-02NINR NIH HHS 5 R01 NR012242-02NINR NIH HHS F31 NR013304NINR NIH HHS R01 NR011042NINR NIH HHS R01 NR012242
6 · The paper itself

Abstract

backgroundDelirium frequently occurs in hospitalised older adults leading to poor outcomes and frequent adverse events. Proper recognition and management of delirium by acute care nurses can minimise the effects of negative sequelae associated with delirium.

aimThis pilot study used focus group methodology to: (i) describe acute care nurse's experience and knowledge regarding assessment and management of delirium in hospitalised older adults; (ii) illustrate potential facilitators and barriers to non-drug management of delirium; and (iii) to explicate the use of non-drug interventions by acute care nurses to manage delirium in hospitalised older adults.

designQualitative, pilot study.

methodsA total of 16 nurse participants, working on medical, surgical and orthopaedic units from one acute care hospital participated in two focus groups.

resultsMain themes included the following: confusion is normal; our duty is to protect; and finding a balance. Nurses were able to identify non-pharmacological interventions for delirium and facilitators and barriers to using these in clinical practice.

conclusionsFindings from this pilot study illustrate the need for regular assessment of cognitive status in hospitalised older adults and nursing staff education regarding the use of non-pharmacological management of delirium. Based on their experience, nurses have a wealth of ideas for managing delirium. Areas for future research and policy are also highlighted. IMPLICATIONS FOR PRACTICE: More research is needed on how to improve delirium management by acute care nurses to increase the efficacy and use of non-pharmacological interventions in the management of delirium in hospitalised older adults. To translate these findings into practice, nursing care needs to be guided by evidence-based guidelines to implement non-pharmacological strategies in the acute care setting.

Indexed as

DeliriumGeriatric AssessmentHealth Knowledge, Attitudes, PracticeHospitalizationAcute DiseaseAgedClinical CompetenceFemaleFocus GroupsHumansMaleNurse-Patient RelationsNursing AssessmentNursing ResearchNursing Staff, HospitalPennsylvania

Identifiers

PMID22513181
PMCPMC3555484
OpenAlexW1747370603

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.